| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5.86 | $6.00 | $24.00 | |
Cigna
| Facility | $7.28 | $9.78 | $14.83 | |
Cigna
| Professional | $3.40 | $7.23 | $7.28 | |
Providence
| Facility | $7.28 | $9.78 | $14.83 | |
Providence
| Professional | $4.51 | $5.01 | $7.28 | |
United
| Professional | $3.01 | $3.01 | $6.90 |